ANDREW MARTIN MARZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067301

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

MARTIN

Last Name

MARZ

Business Name

ANDREW MARTIN MARZ DO

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

06/28/2018

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2015